<div class="ui raised very padded text segment">
    <div class="ui form">
        <div class="inline fields">
            <label for="orderSource">选择国家</label>
            <div class="ui selection dropdown">
                <input type="hidden" name="countryId" value="1">
                <i class="dropdown icon"></i>
                <div class="default text">中国</div>
                <div class="menu">
                    <div class="item" data-value="1">中国</div>
                </div>
            </div>
        </div>
        <div class="inline fields">
            <label for="orderSource">选择省份</label>
            <div class="ui selection dropdown">
                <input id="provinceInput" type="hidden" name="provinceId" value="">
                <i class="dropdown icon"></i>
                <div class="default text">请选择</div>
                <div class="menu">
                    <% data.forEach(function(row){ %>
                        <% if(row.id && row.name){ %>
                        <div class="item" data-value="<%=row.id%>"><%=row.name%></div>
                        <% } %>
                    <% }); %>
                </div>
            </div>
        </div>
        <div class="inline fields">
            <label for="orderSource">选择城市</label>
            <div class="ui selection dropdown">
                <input type="hidden" name="cityId" value="">
                <i class="dropdown icon"></i>
                <div class="default text">请选择</div>
                <div class="menu" id="cityMenu">
                </div>
            </div>
        </div>
        <div class="inline fields">
            <button class="ui button" id="cityAddBtn" type="submit">添加</button>
        </div>
    </div>
</div>
